DR. GLEN Y KISHI MD
NPI 1174561765
Obstetrics & Gynecology in Phoenix, AZ
About Dr. Glen Y Kishi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GLEN Y KISHI MD (NPI 1174561765) is an individual obstetrics & gynecology provider in Phoenix, Arizona, licensed in Arizona (18565) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Glen Y Kishi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Glen Kishi's NPI number?
The NPI number for Glen Kishi is 1174561765. It was assigned to this individual provider in the NPPES registry on June 3, 2006.
Where is Glen Kishi located?
Glen Kishi practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.
What is Glen Kishi's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Glen Kishi enrolled in Medicare?
Yes. Glen Kishi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Glen Kishi was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Glen Y Kishi, MD · NPI 1174561765
Obstetrics & Gynecology physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since June 3, 2006.
## Identity
- **NPI:** 1174561765 (Entity type: Individual)
- **Enumerated:** June 3, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 18565 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 4212 N 16TH ST, Phoenix, AZ 85016-5319
- **Phone:** (602) 263-1200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Un Of California, Irvine, College Of Medicine, class of 1985
## Record status
- **NPPES last updated:** October 13, 2015
- **Other identifiers:** Medicaid 285818 (AZ); Medicare PIN Z131775; Medicare UPIN E52285
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Source: [NPI Profile](https://npiprofile.com/npi/1174561765) · Data from the CMS NPPES public registry.